Mary Moon Manzo, PA-C - Medicare Physician Assistant in Newport, RI

Mary Moon Manzo, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Newport, Rhode Island. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Elliot Professional Services and her current practice location is 19 Friendship St, Newport, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 849-6868.

Mary Moon Manzo is licensed to practice in Rhode Island (license number PA 449) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730292244.

Contact Information

Mary Moon Manzo, PA-C
19 Friendship St,
Newport, RI 02840-2272
(401) 849-6868
(401) 847-3840



Provider's Profile

Full NameMary Moon Manzo
GenderFemale
SpecialityPhysician Assistant
Experience23 Years
Location19 Friendship St, Newport, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Moon Manzo graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1730292244
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 02/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5698731248
  • Enrollment ID: I20171108000252

Medical Identifiers

Medical identifiers for Mary Moon Manzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730292244NPI-NPPES
PA 449OtherRIRI LICENSE
414659OtherRIBLUE CHIP
33279OtherRIBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA 449 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elliot HospitalManchester, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Elliot Professional Services6103727920304

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Moon Manzo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Moon Manzo, PA-C
2 Dudley St, Ste 200,
Providence, RI 02905-3248

Ph: (401) 849-6868
Mary Moon Manzo, PA-C
19 Friendship St,
Newport, RI 02840-2272

Ph: (401) 849-6868

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Physician Assistant Nurses in Newport, RI

Nelsy Lopes, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8 John H Chafee Blvd, Newport, RI 02840
Phone: 401-848-2160    Fax: 401-847-4245
Mrs. Kathleen Marie Johnston, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20 Powel Avenue, Comprehensive Spine Center, Newport Hospital, Newport, RI 02840
Phone: 401-845-1190    Fax: 401-845-1073
Timothy J Thompson, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 19 Friendship St, Suite 330, Newport, RI 02840
Phone: 401-849-6868    
Stephanie Slone, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 11 Friendship St, Newport, RI 02840
Phone: 401-846-6400    
Michael Anthony Mcgourty, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 93 Thames St, Newport, RI 02840
Phone: 401-846-4150    Fax: 401-846-9340
Ms. Kelley A Newman, BS
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 43 Smith Rd, Naval Helath Care New England, Newport, RI 02841
Phone: 860-694-2377    Fax: 860-694-3590
John T Jackson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 11 Friendship St, Newport, RI 02840
Phone: 401-845-1593    Fax: 401-847-0650

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